Screening Tool of Philipp et al for a Bleeding Disorder in a Woman with Menorrhagia

Patient selection: woman with menorrhagia

Clinical findings suggesting an underlying bleeding disorder:

(1) duration of menses >= 7 days AND one of the following:

(1a) "flooding"

(1b) impairment in daily activities during most periods

(2) history of being treated for anemia

(3) family history of a diagnosed bleeding disorder

(4) a history of excessive bleeding following a stimulus (tooth extraction, surgery, delivery, miscarriage)

Interpretation:

• minimum number of findings present: 0

• maximum number of findings present: 4

• The presence of one or more findings was considered positive.

Limitation:

• The criteria for a history of being treated for anemia may be nonspecific.

• Some patients may have a family history of a bleeding disorder that has not been officially diagnosed. A patient may have a relative with a bleeding disorder that is acquired and not hereditary.